Organization
TJSUPPER ENTERPRISES, INC. DBA THE OPTICAL SHOPPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM J. SUPPER DO (OWNER/ OPTICIAN)
(727) 804-3412
Entity
Organization
Contact information
Practice address
180 RACE TRACK RD N UNIT 32, OLDSMAR, FL 34677-3211
(727) 804-3412
(813) 855-3636
Mailing address
6260 31ST TER N, ST PETERSBURG, FL 33710-2402
(727) 804-3412
(727) 345-5502
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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